Evaluation of pulmonary alveolo-capillary permeability in Type 2 diabetes mellitus using technetium Tc-99m-DTPA aerosol scintigraphy and carbon monoxide diffusion capacity

The thickening of alveolar basement membrane is found in autopsies, along with microvascular pathologies, in Type I and 2 diabetes mellitus (DM). To detect the function and permeability of alveolar basement membrane, carbon monoxide diffusion capacity (DLCO) and technetium 99m-diethyltriaminepentaaceticacid (Tc-99m-DTPA) aerosol scintigraphy methods can be used. The aim of this study was to determine alveolar basement membrane damage using these two methods. Nineteen women and 6 men, nonsmoking, Type 2 DM cases, without any lung and/or heart disease and who had neither anemia nor obesity, made up the patient group. They were compared with six female and nine male healthy cases who had the same characteristics with the diabetes cases. All of the cases DLCO were measured by single-breath method and 99mTc-DTPA aerosol scintigraphy was performed. DLCO showed no difference between the two groups. Aerosol scintigraphy was significantly decreased in the diabetic group (P=.01). In cases with > 5 years of diabetic duration (P 8% (P <.05), and in microangiopathic cases (P <.01), alveolo-capillary permeability was significantly decreased than in the control group. Among the same groups, no significant difference could be detected for DLCO. The permeability of alveolar basement membrane can reduce in respect to diabetes duration and poor metabolic control. According to our investigation, Tc-99m-DTPA aerosol scintigraphy method is more sensitive than DLCO method for determining these pathologies. (c) 2006 Elsevier Inc. All rights reserved

Frequency Of Thyroid Diseases in Type 2 Diabetic Patients

Objectives: Thyroid diseases and type 2 diabetes mellitus are two abundant diseases in general population. In this study, we evaluated the frequency of thyroid diseases in type 2 diabetic patients

Migraine in Metabolic Syndrome

Objectives: Recent studies suggest that insulin resistance is In ore common in patients with migraine. Insulin resistance underlies the pathogenesis of obesity, diabetes. and hypertension that are components of metabolic syndrome. As migraine is associated with an increased risk of vascular disorders, such as stroke. and migraine patients have higher diastolic blood pressure than healthy individuals, we aimed to investigate the I-year prevalence of migraine in metabolic syndrome

Volar Locking Plating Treatment Results in Fragmented Intraarticular Distal Radius Fractures / Rezultati Tretmana Metodom “Zakljucavanja” Rucja Kod Višestruktih Distalnih Intraartikularnih Preloma Radijusa

Volar locking plating treatment results in fragmented intra-articular distal radius fractures in adults

Iatrogenic Cushing′s syndrome after topical steroid therapy for psoriasis

Glucocorticoids are used for the treatment of many diseases, such as inflammatory, allergic, autoimmune, and neoplastic diseases. They can be used in the form of topical, oral, inhalable, rectal, and intra-articular agents. Many topical steroid-related iatrogenic Cushing′s syndrome cases affecting especially children have been reported in the literature. Topical steroid-related Cushing′s syndrome is rarely seen in adults. In this report, we present the case of a 32-year-old male patient with iatrogenic Cushing′s syndrome related to long-term clobetasol propionate treatment for psoriasis. In the context of such treatment, the glucocorticoid withdrawal problem has to be overcome. At present there is no consensus on steroid withdrawal. Patients on long-term glucocorticoid treatment must be evaluated for potential adverse effects and withdrawal symptoms by their physician and their endocrinologist